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Klamath Lake County Youth Ranch
Emotionally Disturbed Childrens' Residential Treatment Facility in Bonanza, Oregon
NPI 1528499696

Klamath Lake County Youth Ranch is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Bonanza, OR. Klamath Lake County Youth Ranch practices in Bonanza, OR. The NPI Number for Klamath Lake County Youth Ranch is 1528499696 and holds a License No. 0138 (Oregon).

The current practice location address for Klamath Lake County Youth Ranch is 5800 Happy Hollow Ln, Bonanza, OR and can be reached out via phone at 541-545-6742.

Location: 5800 Happy Hollow Ln, Bonanza, OR, 97623-7714
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528499696
Provider Name
Klamath Lake County Youth Ranch
Credential
Provider Entity Type
Organization
Address
5800 Happy Hollow Ln, Bonanza, OR, 97623-7714
Phone Number
541-545-6742
Fax Number
Provider Enumeration Date
11/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5800 Happy Hollow Ln
City
Bonanza
State
Oregon
Zip
97623-7714
Phone Number
541-545-6742
Fax Number
person
Provider Business Mailing Address Details
Address
5800 Happy Hollow Ln
City
Bonanza
State
Oregon
Zip
97623-7714
Phone Number
541-545-6742
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
0138 (Oregon)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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